1. Lung cancer
Lung cancer, also known as primary bronchial cancer, is a common malignant tumor originating from bronchial epithelium at all levels. This disease is more common in adults over 40 years old, and is more common in men than women. The incidence of lung cancer in my country has increased significantly in the past 20 years, especially in cities.
Cough, chest pain, hemoptysis, chest tightness, shortness of breath, weight loss and cachexia are its main symptoms. The current histological classification of lung cancer is roughly divided into five categories according to the degree of cell differentiation and morphological characteristics: squamous cell carcinoma, small cell undifferentiated carcinoma, large cell undifferentiated carcinoma, adenocarcinoma, and bronchiolo-alveolar carcinoma. Among them, squamous cell carcinoma is the most common. Epithelial cell carcinoma is the most common.
This disease belongs to the categories of "lung accumulation", "pneumonia" and "cough" in traditional Chinese medicine. The disease is located in the lungs and often affects the spleen, stomach and kidneys. Its etiology and pathogenesis are due to insufficient lung qi and yin, and evil poisons take advantage of the deficiency to attack the lungs, resulting in the loss of lung qi and the failure to spread body fluids. , blocked in the lung collaterals, and then aggregated into lumps, forming cancerous tumors. After cancerous tumors are formed, they further block Qi movement and aggravate the dysfunction of lung Qi dispersion and descending function. Such a vicious cycle makes the condition worse. Surgical treatment causes the normal function of the lungs to decline, and the deficiency of Qi and Yin becomes more severe. If chemotherapy or radiotherapy is performed, it will not only cause local irritation, pain, swelling, and necrosis, but also damage the body's righteousness, cause spleen and stomach dysfunction, or cause further depletion of lung qi and yin.
(1) Syndrome differentiation and treatment
The commonly used clinical syndrome differentiation and treatment are introduced as follows:
1. Yin deficiency and internal heat
[Key points of syndrome differentiation] Dry cough with little or no phlegm, or little and sticky phlegm that is difficult to cough up or blood in the sputum, chest pain and shortness of breath, or low fever and night sweats, or restlessness and insomnia, dry mouth and dry stools, red or crimson tongue, and thin coating. Yellow or mossless, thready and rapid pulse.
[Treatment method] Nourishing yin, clearing away heat, detoxifying and fighting cancer.
[Recipe] Rehmannia 15g, Lily 15g, Ophiopogon japonicus 15g, North and South Adenophora 30g each, Fritillaria fritillaris 10g, Anemarrhena 15g, Scutellaria barbata 30g, Shi Jian Chuan 20g, Raw turtle shell 15g , Hedyotis diffusa 30g, Houttuynia cordata 30g.
2. Qi and blood stasis
[Key points of syndrome differentiation] Poor cough, shortness of breath, chest pain like a needle, blood streaks in sputum, wheezing and not being able to lie down, constipation, insomnia, lip Dark, dark red tongue with ecchymosis, thin yellow coating, thin stringy or astringent pulse.
[Treatment method] Promote blood circulation and remove blood stasis, regulate qi and relieve pain.
[Recipe] 10g peach kernel, 10g almond, 10g Platycodon grandiflorum, 10g Citrus aurantium, 15g Salvia miltiorrhiza, 10g Trichosanthes niger, 10g Curcuma zedoary, 10g Yuanhu, 10g white peony root, 10g Wulingzhi, 10g pangolin, stone. 30g of Jianchuan, 15g of Lithospermum, and 30g of Hedyotis diffusa.
3. Phlegm and dampness accumulate in the lungs
[Key points of syndrome differentiation] Heavy cough with excessive phlegm, chest tightness and shortness of breath, vomiting, nausea and anorexia, fatigue, abdominal distension and loose stools, heavy limbs, or headache It is as heavy as a wrap, the tongue is fat and light, the coating is white and greasy, and the pulse is slippery.
[Treatment method] Strengthen the spleen and resolve phlegm, detoxify and dissolve stagnation.
[Recipe] Codonopsis pilosula 15g, Poria cocos 10g, Atractylodes 10g, Pinellia ternata 10g, tangerine peel 10g, Nanxing 10g, Pediculus 10g, almond 10g, raw coix 30g, cat's claw 30g, nightshade 30g , Aristolochia 10g, Scutellaria barbata 30g, Hedyotis diffusa 30g, raw malt 15g.
4. Deficiency of both lungs and kidneys
[Key points of syndrome differentiation] Coughing, shortness of breath, shortness of breath when moving, weak expectoration, chest tightness and suffocation, pale complexion, soreness of waist and knees, fatigue and weakness, Cold limbs, fear of cold, spontaneous sweating, loose stools, pale and fat tongue, white or greasy coating, and weak and thready pulse.
[Treatment method] Moisten the lungs and resolve phlegm, warm and nourish kidney yang.
[Recipe] 12g Rehmannia glutinosa, 15g Ophiopogon japonicus, 10g Chinese yam, 10g Schisandra chinensis, 10g Codonopsis pilosula, 10g old paper, 10g curculigo, 6g cinnamon, 12g Fritillaria fritillary, 15g white silkworm, 5g honeycomb , Prunella vulgaris 15g.
5. Addition and subtraction according to the syndrome. Based on the main symptoms of lung cancer patients and on the basis of the above syndrome differentiation, if you have the following symptoms, the following drugs can be selected as appropriate:
( 1) If you have a cough with a lot of phlegm, add Pediculus, Almond, Aster, Fritillaria fritillary, Pinellia pinellia, and Qingzhi; if you have a cough with yellow phlegm, add Scutellaria baicalensis, Dan Nanxing, Scutellaria baicalensis, sea clam shell, Tianzhu Huang, and Danzhu. Lek, Houttuynia Cordata; for severe wheezing and cough, add perilla seeds, aster, and gecko.
(2) For those with blood in the sputum or hemoptysis, add agrimony, clam powder, notoginseng powder, Sanguisorba, Dilipis sibiricum, Yunnan Baiyao, Platycladus orientalis leaves, and Imperata cognac root.
(3) For spontaneous sweating and shortness of breath, add stilbene, ginseng, cordyceps, floating wheat, schisandra, calcined dragon fruit, cornus, etc.
(4) For chest pain, add frankincense, myrrh, Corydalis, Wulingzhi, Puhuang, and whole scorpion.
(5) For patients with pleural effusion, add Talizi, Solanum nigrum, Phytolacca, Saffron, Mulberry, and Plantain (grass).
(6) For patients with low fever, add Bupleurum baicalensis, Digupi, and bamboo leaves; for patients with high fever, add gypsum, Hanshui stone, Anemarrhena, bezoar, and purple snow pill.
(7) For those with lumps, add Sagittaria vulgaris, seaweed, raw oysters, golden elixirs, Prunella Vulgaris, and Xihuang Wan; for those with lymph node metastasis, add Prunella vulgaris, White Bombyx, Paoshen beetle, and soil Fritillaria et al.
6. TCM syndrome differentiation treatment before and after surgery and during radiotherapy and chemotherapy (1) Preoperative treatment is mainly to strengthen the body, clear away heat and detoxify. The drug composition: Ophiopogon japonicus, Adenophora adenophora, honeysuckle, loquat leaves, 10g each of Platycodon and Bamboo Ru, 12g of Poria, 15g each of Pseudostellariae, Polyporus, and Astragalus, 20g each Houttuynia cordata and Hedyotis diffusa, 9g each Sichuan Fritillary and Aster, decoct in water and take.
(2) After surgery, it is advisable to replenish qi and nourish yin, moisten the lungs and resolve phlegm. The drug consists of: 10g each of Adenophora adenophora, dendrobium, loquat leaves, white peony root, Sichuan clam, almond, and root root, and American ginseng. 6g (dose), 15g each of Radix Pseudostellariae, Polyporus cocos, Poria cocos, raw Astragalus membranaceus, and Ophiopogon japonicus, and 20g each of Hedyotis diffusa and Houttuynia cordata.
(3) During radiotherapy, the syndrome of dryness and heat damaging yin is mostly manifested. Replenishing qi and nourishing yin, moistening dryness and detoxifying should be the main treatments. The first choices are: adenophora, Ophiopogon japonicus, dendrobium, locust leaves, and centipede. 10g each of lily, polygonatum, polyporus, and poria, 20g each of Houttuynia cordata, Hedyotis diffusa, and Scutellaria barbata. For those with obvious nausea and vomiting, Wendan Decoction and Xuanfudaizhe Decoction can be selected; if the blood picture drops significantly, it is advisable to replenish qi and blood and benefit the liver and kidneys, so Siwu Decoction plus Erzhi Wan, or Danggui Buxue Decoction plus Erxian Decoction can be selected.
(2) Other treatments
1. Uniform and proven prescriptions
(1) 60g of wild grape root, boiled in water instead of tea, and taken frequently.
(2) 30g of dandelion and 30g of dandelion, decoction in water, 1 dose per day.
(3) Plum Blossom Pointing Tongue Pill: 2 pills each time, 3 times a day, for 3 months as a course of treatment.
2. Acupuncture therapy Acupuncture has a two-way immunomodulatory effect. Feishu, Fengmen, Tanzhong, Chize, Zhongfu, Shenshu, Lieque, Neiguan, Zusanli are often used for body acupuncture. Fenglong and Tiantu are used for cough and sputum; lung, heart, and large intestine are used for auricular acupuncture. , adrenal glands, endocrinology, chest, etc., apply the seeds of Periwinkle for 5 consecutive days, rest for 2 days, and then apply for the second course of treatment.
3. Diet therapy: For lung cancer, asthma, and cough, you can choose radish, loquat fruit, or raw pears. For hemoptysis, you can choose lotus root, apricot, fig, or white and stewed bird's nest. The following two recipes can be cooked and taken regularly:
(1) Barley soup: 30g of coix seed and 30g of glutinous or japonica rice. Cooking it has the effect of strengthening the spleen and stomach, diuresis and reducing swelling.
(2) Coix seed porridge: 100g of coix seed, 30 lotus seeds (heart removed), 100g of japonica rice, appropriate amount of sugar. Cook and eat. It has the functions of strengthening the spleen and stomach, nourishing the lungs and kidneys, nourishing the heart and calming the mind. .
4. Patients with lung cancer treated with Qigong can practice Qigong, such as Twelve Duanjin, Twenty-Four Solar Terms Sitting Gong, Guo Linxin Qigong, etc., and they can also practice Tai Chi.
(3) Prevention and care
Prevention should promote smoking cessation, improve environmental sanitation, regulate emotions, regulate diet, actively exercise, improve physical fitness, strengthen labor protection, and Actively treat chronic lung diseases, and regularly check high-risk groups (long-term smokers, chronic coughs, family history, frequent exposure to radioactive materials, asbestos, etc.) to achieve early detection, early diagnosis, and early treatment.
Once diagnosed with lung cancer, patients should adopt an attitude of taking things as they come, calm their emotions, maintain an optimistic mentality, and enhance their confidence, so as to facilitate the treatment of the disease and the enhancement of disease resistance. . The diet should include rich and easily digestible high-nutrient products, eat more fresh vegetables, and avoid spicy and fatty foods. Life should be a balance between work and rest, strengthen exercise, quit smoking and drinking, and practice various qigong appropriately.